Atypia Thyroid and Pituitary Lesion

[LaMar84]

Recently I had an MRI and an ultrasound done to help with figuring out why I am gaining weight.  The ultrasound came back with two adenomas and my MRI had a 2mm pituitary lesion.  They did a biopsy on the left thyroid adenoma that they found and it has came back as an aypia of undetermined signfiance - rare group of follicular cells with enlarged nucei, some with muclear grooves, present in a background of abundant volloid; favor reactive changes....  any thoughts or ideas on what this might be?  it is common to find both?  I have history of an acoustic nueroma on the right side.  4.4 cm - surgery in Dec 05.  Any suggest treatment plans?  monitor it?   Thyroidectomy?

[LaMar84]

Thanks for the reply.   I am suppose to see my doctor tomorrow and see what the way forward is going to be.  Just really frustrated.  The only reason these were found is that I just got back from deployment in Jan and I gained 30 lbs in two months.   Was taking a boxing class, 900 calorie diet, really trying to watch everything.... kept gaining!   Went from 189 to 220.  I even tried Isagenix.  Since I was getting any results I went to the doctor and they referred me to endo which order the MRI and ultrasound.   Just frustrating that I am not getting in solid answers.  They just keep finding more things that they want to "Watch"   Seems crazy to me to have all these symptoms, find two masses, and a pituitary lesion and not have ANY ANSWERS!!!!!  :(

[Gibbon1]

I think the Pituitary whatever, is something to be just watched unless your doctors are suspicious that it's secreting a hormone.  Since it's 'small'

Offhand I'd say the phrase 'favor reactive changes' means the pathologist would put $5 on not cancer.  Meaning cells are weird.

Not sure the ear tumor has anything to do with the thyroid.  If your thyroid hormones are normal (TSH, T4, etc) and the ultrasound didn't show evidence of autoimmune disease, then your thyroid is likely working okay.  Be a shame to have it out.

If your endocrinologist and doctor both say watch the thyroid nodules, then that's reasonable.